| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,838 |
7,530 |
$276K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,231 |
5,437 |
$114K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
6,515 |
4,875 |
$79K |
| 99497 |
|
2,398 |
1,605 |
$49K |
| 99215 |
Prolong outpt/office vis |
1,080 |
827 |
$48K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
936 |
670 |
$40K |
| 94375 |
|
3,479 |
2,458 |
$39K |
| 93000 |
|
3,997 |
2,857 |
$33K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
7,118 |
5,119 |
$26K |
| 71046 |
Radiologic examination, chest; 2 views |
2,480 |
1,718 |
$24K |
| 99401 |
|
656 |
542 |
$19K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
184 |
160 |
$14K |
| 82947 |
|
7,040 |
4,923 |
$12K |
| 73560 |
|
2,364 |
771 |
$12K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,612 |
1,211 |
$9K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
956 |
775 |
$8K |
| 82570 |
|
2,317 |
1,700 |
$7K |
| 90686 |
|
1,230 |
940 |
$7K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
1,727 |
1,288 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
92 |
76 |
$6K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
1,278 |
870 |
$5K |
| 81003 |
|
3,952 |
2,836 |
$4K |
| 82270 |
|
2,736 |
1,917 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
242 |
167 |
$3K |
| 77080 |
|
326 |
202 |
$3K |
| 73521 |
|
418 |
261 |
$2K |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
560 |
402 |
$2K |
| 93922 |
|
71 |
66 |
$2K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
1,973 |
1,481 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,420 |
1,027 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
147 |
127 |
$2K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
65 |
59 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,845 |
1,491 |
$1K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
65 |
59 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
585 |
427 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,196 |
914 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,316 |
1,013 |
$1K |
| 99205 |
Prolong outpt/office vis |
16 |
12 |
$1K |
| 90715 |
|
29 |
24 |
$1K |
| 94664 |
|
251 |
176 |
$983.27 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
1,867 |
1,509 |
$824.14 |
| 82962 |
|
298 |
218 |
$817.43 |
| 93880 |
|
28 |
25 |
$716.58 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
200 |
172 |
$671.51 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
60 |
40 |
$625.61 |
| 93925 |
|
46 |
36 |
$592.50 |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
40 |
28 |
$506.59 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
50 |
46 |
$484.14 |
| 99406 |
|
112 |
73 |
$352.54 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
140 |
72 |
$283.58 |
| 84156 |
|
1,258 |
855 |
$252.30 |
| 87210 |
|
51 |
46 |
$185.90 |
| 87220 |
|
51 |
46 |
$184.29 |
| 94760 |
|
56 |
45 |
$124.25 |
| 99397 |
|
345 |
217 |
$100.92 |
| G0008 |
Administration of influenza virus vaccine |
677 |
516 |
$65.73 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
51 |
42 |
$28.34 |
| 99000 |
|
167 |
121 |
$3.00 |
| 3077F |
|
1,772 |
1,312 |
$0.02 |
| 3079F |
|
2,245 |
1,692 |
$0.02 |
| 3074F |
|
2,233 |
1,638 |
$0.02 |
| 1158F |
|
745 |
481 |
$0.01 |
| 3078F |
|
2,823 |
2,023 |
$0.01 |
| 1126F |
|
785 |
519 |
$0.01 |
| 3075F |
|
1,630 |
1,206 |
$0.01 |
| 1159F |
|
862 |
565 |
$0.00 |
| 1160F |
|
757 |
488 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
4,491 |
3,226 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
70 |
62 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
19 |
16 |
$0.00 |
| 3080F |
|
213 |
168 |
$0.00 |
| 1170F |
|
816 |
538 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,505 |
1,067 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
902 |
593 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
250 |
206 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
33 |
13 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
31 |
28 |
$0.00 |